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Physician Compare National (NPI:1982656245)

HEALTHCARE PROVIDER: JOHN TOWNSEND III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1982656245
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6709836471
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090806000113
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TOWNSEND
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name B
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1984
Individual professional's medical school graduation year
Primary Specialty NEUROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PSYCHIATRY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PSYCHIATRY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 774 CHRISTIANA RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201B
Group Practice or individual's line 2 address
City NEWARK
Group Practice or individual's city
State DE
Group Practice or individual's state
Zip Code 197134221
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 080001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CHRISTIANA HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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